[1]黄瑞霞,王仁平,王宁宁,等.分时段不同中药治疗缺血性心肌病气虚血瘀阻络型心衰的远期疗效观察[J].西部中医药,2022,35(01):105-108.[doi:10.12174/j.issn.2096-9600.2022.01.25]
　HUANG Ruixia,WANG Renping,WANG Ningning,et al.Observation on Long-term Clinical Effects of Phased TCM Therapies in the Treatment of Qi Deficiency, Blood Stasis Obstructing Collaterals Pattern Heart Failure Caused by Ischemic Cardiomyopathy[J].Western Journal of Traditional Chinese Medicine,2022,35(01):105-108.[doi:10.12174/j.issn.2096-9600.2022.01.25]
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分时段不同中药治疗缺血性心肌病气虚血瘀阻络型心衰的远期疗效观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年01期
页码:
105-108
栏目:
出版日期:
2022-01-15

文章信息/Info

Title:
Observation on Long-term Clinical Effects of Phased TCM Therapies in the Treatment of Qi Deficiency, Blood Stasis Obstructing Collaterals Pattern Heart Failure Caused by Ischemic Cardiomyopathy
作者:
黄瑞霞, 王仁平, 王宁宁, 张敏, 赵洁, 崔静, 何美娟
石家庄长城中西医结合医院心血管一科，河北 石家庄 050035
Author(s):
HUANG Ruixia, WANG Renping, WANG Ningning, ZHANG Min, ZHAO Jie, CUI Jing, HE Meijuan
The First Cardiovascular Department, Shijiazhuang Changcheng Hospital of Integrative Medicine, Shijiazhuang 050035, China
关键词:
缺血性心肌病; 气虚血瘀阻络; 心衰; 心血管事件; 生活质量; 分时段
Keywords:
ischemic cardiomyopathy; deficiency;  blood stasis obstructing collaterals; heart failure; cardiovascular events; quality of life; phased
分类号:
R223
DOI:
10.12174/j.issn.2096-9600.2022.01.25
摘要:
目的观察分时段采用不同中药方剂治疗缺血性心肌病气虚血瘀阻络型心衰的远期临床疗效。 方法将缺血性心肌病气虚血瘀阻络型心衰患者120例按照随机对照原则分为治疗组（心肌活力饮、冠脉疏通饮+西药治疗）和对照组（西药治疗）各60例，治疗4周后评估疗效，随访3个月比较两组患者心血管事件发生率及生活质量。 结果总有效率治疗组为90.00%，高于对照组的66.67%；治疗组心衰分级轻度占63.33%，高于对照组的33.33%；治疗组心血管事件总发生率为6.67%，低于对照组的20.00%（P＜0.05）。治疗组躯体健康（physical component summary，PCS）总评分与心理健康（mental component summary，MCS）总评分均高于对照组（P＜0.05）。 结论根据人体阴阳消长，早晨服用心肌活力饮益气解毒，晚上服用冠脉疏通饮活血通络能降低缺血性心肌病气虚血瘀阻络型心衰患者心血管事件发生率，帮助提高患者生活质量。
Abstract:
ObjectiveTo observe long-term clinical effects of phased TCM therapies in the treatment of Qi deficiency, blood stasis obstructing collaterals pattern heart failure caused by ischemic cardiomyopathy. MethodsAll 120 patients were divided into the treatment group (Xinji Huoli drink, Guanmai Shutong drink+Western medicine therapy) and the control group (Western medicine therapy) according to randomized control principles, with 60 cases in each group, after four weeks of treatment, to assess clinical effects, to compare the incidence of cardiovascular events and quality of life when the patients were followed up for three months. ResultsTotal effective rate of the treatment group was 90.00%, higher than 66.67% of the control group; mild heart failure held 63.33% in the treatment group, higher than 33.33% of the control group; the total incidence of cardiovascular events of the treatment group was 6.67% in the follow-ups, lower than 20.00% of the control group (P<0.05). In the follow-ups, total scores of PCS and MCS of the treatment group were higher than these of the control group (P<0.05). ConclusionBased on waxing and waning of Yin and Yang in human body, the administration of Xinji Huoli drink in the morning could benefit Qi and remove toxin, taking Guanmai Shutong drink in the evening could activate blood and dredge the collaterals, which could lower the incidences of cardiovascular events of the patients and help improve quality of life in patients.

备注/Memo

备注/Memo:
黄瑞霞（1977—），女，副主任医师。研究方向：心肌病、心力衰竭与心肌炎的诊治。河北省中医药管理局项目（2016113）。
更新日期/Last Update: 2022-01-15